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The increasing prevalence of smokeless tobacco use, which is a growing health concern, was not comprehensively addressed in previous analyses

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J Operational Psychiat 11 : 4864 Hughes JR, Hatsukami D

This number has grown since data was collected in a 2018 survey, which found that 56.4% of adults reported supporting the federal removal of menthol cigarettes.97 The 2018 survey also found that support was especially strong among Black Americans (60.5%) and other groups who have been targeted by the tobacco industry, including women (62.5%) and Hispanic/Latinos (69.3%)

These factors are not context-specific and may promote the emergence and persistence of social gradients in smoking regardless of culture, level of economic development and tobacco control policies